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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare quality

Primary Care Mental Health Integration to Improve Early Treatment Engagement for Veterans Who Screen Positive for Depression
Analyzes the impact of mental health integration into primary care clinics (PC-MHI) among veterans diagnosed with depression. Examines 15,155 patients that screened positively for depression, with data broken down by PC-MHI reach, timeliness of depression treatment, patient sociodemographic variables and health status, and clinic characteristics, including rurality. Discusses patient location and its relationship to veteran mental health disparities.
Author(s): Lucinda B. Leung, Karen Chu, Danielle E. Rose, et al.
Citation: Health Services Research, 59(S2)
Date: 08/2021
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Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Sponsoring organization: National Quality Forum
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Understanding the Rural Swing Bed: More than Just a Reimbursement Policy
Provides an overview of the swing bed program and its role as a patient-centric post-acute care solution that helps rural hospitals serve their communities. Discusses the impact of the program, reimbursement, quality measures, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Sponsoring organization: Rural Health Information Hub
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Quality Time: Sharing PIE - Making Quality Improvement Fun
Podcast episode discussing ways two Critical Access Hospital (CAH) leaders make quality improvement activities fun and engaging for hospital staff. Highlights engagement strategies that resulted in measurable improvements, staff recognition activities, and the impact these efforts have on staff morale and investment in quality improvement initiatives.
Date: 08/2021
Sponsoring organization: Stratis Health
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Not Your Mother's Healthcare: Surveying Consumer Experiences with Telehealth Services
Recording of an August 4, 2021, webinar on telehealth use during the COVID-19 pandemic. Presents results of a survey conducted between June 28-July 18, 2021, on telehealth utilization, patient satisfaction, and obstacles to accessing telehealth services. Includes data on rural and urban differences throughout. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 08/2021
Sponsoring organization: Bipartisan Policy Center
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The Rural Emergency Hospital and Value-Based Care
Summarizes the new Rural Emergency Hospital (REH) legislation, outlines local considerations before REH conversion, and prepares stakeholders to comment when the Centers for Medicare & Medicaid Services releases REH proposed rules for public input. Addresses questions regarding anticipated proposed rules and describes opportunities to inform REH rulemaking.
Date: 08/2021
Sponsoring organization: Rural Health Value
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Leveraging Quality Measurement to Improve Rural Health, Telehealth, and Healthcare System Readiness: Final Environmental Scan Report
Presents the results of an environmental scan of literature related to barriers and facilitators of rural telehealth for healthcare system readiness, as well as a scan of quality measures relevant to rural telehealth during emergencies. Summarizes policies and practices related to telehealth and the healthcare system, with a focus on federal policy changes due to the COVID-19 pandemic.
Date: 07/2021
Sponsoring organization: National Quality Forum
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Rural/Urban Differences in Discharge from Rehabilitation in Older Adults with Traumatic Brain Injury
Compares rural and urban rates of discharge from skilled nursing facilities for 61,021 older adults with traumatic brain injury between 2011 and 2015 to determine quality of care. Discusses factors predicting successful discharge and reasons for not successfully discharging between rural and urban patients.
Author(s): Marie C. Anderson, Emily Evans, Mark R. Zonfrillo, Kali S. Thomas
Citation: Journal of the American Geriatrics Society, 69(6), 1601-1608
Date: 06/2021
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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HIV Treatment Outcomes in Rural Georgia Using Telemedicine
Results of a study to compare the effectiveness of HIV care delivered through telemedicine (TM) with the face-to-face (F2F) model, based on chart reviews of a total of 385 Georgia patients who attended a TM clinic in Dublin or a F2F clinic in Augusta between May 2017 and April 2018. Features statistics with breakdowns including sex, age, race, and comorbidities.
Author(s): Folake J. Lawal, Moshood O. Omotayo, Tae Jin Lee, Arni S. R. Srinivasa Rao, Jose A. Vazquez
Citation: Open Forum Infectious Diseases, 8(6)
Date: 06/2021
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